Age, Obesity, Medical Comorbidities and Surgical Technique are Predictive of Symptomatic Anastomotic Strictures After Contemporary Radical Prostatectomy

Abstract

Patient factors as well as technical factors influence the development of symptomatic anastomotic strictures following contemporary radical prostatectomy. The impact of these factors is influenced by the individual surgeon and the approach used.

An update on best practice in the diagnosis and management of post-prostatectomy anastomotic strictures

“…Sandhu and colleagues nicely highlighted this in their 2011 analysis of over 4500 radical prostatectomies performed at Memorial Sloan-Kettering. 40 They found an overall VUAS rate of 4% (198 patients) presenting an average of 3.5 months following prostatectomy. On multivariate analysis, open procedures were found to have a 10-times increased risk for VUAS compared with those performed minimally invasively.…”

All You Need to Know About Urethrovesical Anastomotic Urinary Leakage Following Radical Prostatectomy

“…10,11 Obesity is thought to create difficulties in accessing the vesicourethral anastomosis or to decrease visibility, but only in the open approach. 10 In cases of LRP or RARP UVAL occurs but it is not affected by obesity.…”

“…10 In cases of LRP or RARP UVAL occurs but it is not affected by obesity. 10 However, other groups suggest the opposite. 11 In addition, urinary tract infection appears to increase the possibility of UVAL.…”

Robotic urologic surgery complications

“…Sandhu et al [77] found VUAS rate as 4% (n = 198) in overall 4500 radical prostatectomy cases performed at Memorial Sloan-Kettering hospital. They detected the VUAS cases at an average of 3.5 months after prostatectomy.…”

“…They detected the VUAS cases at an average of 3.5 months after prostatectomy. They were also found that the VUAS risk increased 10-folds in open procedures compared with minimal invasive methods [77] .…”